24315 91ST AVE W.PDF.1111111111.11
8822
24315 91 ST AVE W
0 10
J
ADDRESS: I,f, 15 — I
TAX ACCOUNT/PARCEL NUMBER: 00 33 () Zct 00 2- 0 Z-
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:. ff� —I IL I DETERMINATION: E] Conditional Waiver E] Study Required _A�aaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: )1115
SCALED PLOT PLAN DATED:
SEWER LID FEE
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST's\Forms\Street File Checklist.doc
0
uw--$t-
I 4D —= — N .1�
jowe4� 14-1(V, �14
+
johoikc— 1), 4 yve w
f
p 40 616r -
Q J( �, 100 1
8�.20
JLao
�(eu
le 10N�
4
41
ewe
qo
110
17,v-, -'-fi
lk
r7
00
RECEIVED
STREET FILE NOV - 3 2003
DEVELOPMENT SERVICES CTR-
ni ITTFRS/DOWNSPOTS Nate5 , CITY OF EDMONDS
VNER/-CONTRACTOR IS . RESPOKSIBLE 4-toof
rr--v
DR EROSION CONTROL AND DAMAGE- 9r
APPROVED BY PLAN4016'
Lop
G 4-%�Dfo,5 �Ad
Lwt Is rZ-Jdcr-
3.
c)fL"vLvAk r
a-AAd-x,, -7ro ld
'A. (sitocks 'no 13c,
pvtovkoop f�og& olow^yom-
5., Ls-i-s;vc- )o,go-ogf
4,ptcovew-N5c 34'tr- 0
APPROVED AS NOTED
BY ENGINEERING
k 9�m at 11
Date: (too -5 A
ALL EXPOSED SURFACES TO
BE COVERED WITHIN. 2 DAYI&
_2te L
rj
(a 3 3 o ?- C?on r- to 2-1m Z
/-t
E
0 0
NAME: rh4 I #91.h
SITE ADDRESS: 12
PROJECT DESCRIPTIO
PLANNING DATA
TE: 11— 1
REDUCED SITE PLAN PROVIDED?(�No)
MAP PAGE: CORNER LOT: (Yes 60) FLAG LOT:1(5�'o)
ZONING: CRITICAL AREAS DETERMINATION #:-0'6- 1&
LJ Study Required:
;U,Walver
Q Conditional Waiver
CH
SEPA DETERMINATION:
L1 Fee
U Checklist
Ll APO list w/ notarized form
Ll (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
11 xempt
SETBACKS:
Required Setbacks: I I I
Street: T-57 Left Side: �7-5- RightSide: �7- Rear: 57
Actual Setbacks: *, .0 _ 2
Street: f I Left Side: 10 Right Sicle:—�244 Rear:
Street map checked for additional setback required? (Yes / No / DNA)
Ll DETACHED STRUCTURES:
LJ ROCKER-IES:
LJ FENCES/TRELLISES:
Ll BAY WINDOWS / PROJECTING MODULATION:
Ll STAIRS/ DECKS:
PARKING: Required: .7— Actual: 2-
JW &W 4- UILDING HEIGHT:
rw4- Datum Poini
Maximum AJ
A.D.U. CREATED-C(
SUBDIVISION:
* -4-75v 4-�&o = 2,97/i90
Elevation:— --f-h0e>
Height: /�-- /3"57 .1
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Xo-�
OTHER:
Plan Review By:
NewBPP1anningDataForm.D0C
CAFileNo:
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/Location: o? Y3 1-r - q1 W,
2. Property Tax Account Number: '1�33odqobo'T�2oazoo_ /
3. Approxfinate Site Size (acres or square feet): ZV <300 22C
4.. Is this site currentlydeveloped? -4yes; _ no.
If yes; how is site developed? 6kt �,7�h C5, S. F
5. Descri the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway — floodplain — of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
— Flows are seasonal? (What time of year?
10. Site is primarily: forested — ; meadow --;shrubs n-dxed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
For C' Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS, mapped soil type(s)? AIA4-L,�A - LArbA, 1&,A �nUtg,� t,,4(
4. Critical Areas inventory or C.A. map indicates Critical Area on site? 1,�
5. Site within designated earth subsidence landslide hazard area? N_
DETERMINATION
STUDY REQUIRED
Reviewed
WArVER
ate:
Critical Areas Check] ist.doc/4.22.2003
ED&
0
City of Edmonds
Development Services Department
Planning Division'
Phone: 425.771.0220
--.Q, Fax: 425.771.0221
I 99�
The Critical Areas Checklist contained -on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or.
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations- of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
6 3 -1 -/*
Date Received:—
Cit� kec'eipt ',0A1_7Z';3
"C,ritic.al. Areas File M Q, i�5— LIQ I
Qrltical Areas phecklist Fee: ---- $135.00
Dat4Mail6dtoA0plidant: 11
A property 'owner, or his/her authorized representative,
must fill -but the checklist, sign and date it, and submit it
to the City. The Citywill review the checklist; make a
precursory* site visit, and make� a determinatioi , I of the
subsequent steps necessary to complete a development
permit application.
Please subirii ' t a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. - In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to' assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration -on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including 'reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false,. misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the infonnation and exhibits herewith submitted are true' and correct to the best of my
knowledge and that I am authorized to file this applicr 7ne behalf of the owner as listed below.
SIGNATURE OF APPLIcANT/AGENT DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply f6r the subject land use application,
and grant my penn.ission for the public officials and the staff of the City of Edmonds to enter the subject prop6rty for the
purposes of in5pection and 130 stin lication.
SIGNA i OF OM(NnVTC= DATE Ai5l
PLEASE PRINT CLEARLY
Owner/Applicant:
PV&-PWA1V\J
Name
"7611- 11J, C-0o,5_R1
Street Address
City State Zip
Applicant Representative:
Name
Street Addrdss
xae-q qg2?
City State 4 Zip
Telephone: 5—b!J!'-3 . Telephone: 3619 3��
Email address (optional):
Email Address (optional):
Critical Areas Check] ist.doc/4.22.2003
A Zone I/J/
GOV
gule
I
ww
am
am
2M
sills
281115
9015
93MBI
8517
NO
22512
=5is
0013
V13
IFQ5
ale
nil
93514
am
am
me
sell
sm
IM
am
am
5T
�si
Sees "n
am
Ma,
oil's
O'ee
Nil
Me
., ,
SM -
—
'.1
1
1
1
1,
93M
0014
;;;T
Inca
010
am
ro—
enn
all
aw
sees am
Ll
an
Vic
am$
23020
0012
an
SUMM
am
na
um am
nM
9=11A
0C)l
am
am
sm
A
012
am
sm
0 jj!
8410
go=
SON
sm sm
Me
awe
G::nery
r
24104
26100
0105
34104
SM4105
. . . . . . . . 24111
"ca
N
x
ca
M
cm
1c:
,77-7747-71
102
13
111711
City of Edmonds
Address Book, November 2002
8
20019
alfl$
am
cam
IT
d Fre
Legal Description
plot
Lot
Address of Property,.,,;!4i-�*7f'
Below sketch lot, location of building and side sewer course.
Typt- of Unit
Kind of pipe
New Construction
Division of Property
Joint Easement
Repair
Controctor
Account #
Assessment #
License # Date
Indicate.North by arrow
00
,4provol- Date 4 11-f / 6 f- By 12�'j
i-OZAA raV3 H'v
'JOM
NNOM
a aVo"
vot!
It-Im
r*j
0
wood AVE N
817-1
18" x 24" BIW
1 KEEP
2�00- �
�RIGHT
R4-7AR
Pilchuck Contractors, Inc.
Job #107018883
16 Feb 04
Sheet 1 / 1
J. Buss
National Barricade Co
NOTES:
1. ALL SIGNSAND SPACING TO CONFORM TO THE
V)
MUTCD, AND CITY OF EDMONDS SPECS
2. ALERT COMMUNITY TRANSIT 5 DAYS INADVANCE
In
3. PROTECTIVE VEHICLE RECOMMENDED -
MAY BEA WORK VEHICLE
4. ALL SIGNSARE 48"x 48" B/O UNLESS OTHERWISE SPECIFIED
LO
C%j
5. ALERTAFFECTED BUSINESSES & RESIDENTS
CY)
OF WORK, DATESAND TIMES
6. CHANNELIZING DEVICES ARE 28"TRAFFIC CONES.
7. WORK AREA 134'EJO C/L 92 AVE W
& 29'S/O C/L 244 ST SW
LO
In N()T-6: rm C V40" Ur I KG -DONE IS Ift TvA 6 C. Irli OP
0 f'�"'ZC41NC-
ce)
v 350'
ThIS r941FFIC COioIIITitj�V
z
APP4/65 TO 907-IA TkC Ciry OF
A14D THC Cir-yor C.00-tv N D S .
TA$4 1%FPR-QV44- F*0A4 Cir-f op SkoqZ
92 AVE W
0
'09
Oj
w
N a-
< 00
91 AVE W
(PVT RD) (n Z
00
NORTH
m
0
I F
.
974
rQ
rn 0
X -
A
0-
APPROVED AS NOTEU,
BY ENGINEERING
%irYLe—
0
0!",
mo
lei
v
AL
Date:,--- 3 - 15 - a4-
In
w
I--
I I
Cn
CD
04
1+1
A
COM LME
Cwsm
MEW
I--
I I
In
ROAD
0
WORK
C*j
AHEAD
W20-1
z
CHANNELIZING DEVICE SPACING (FEET)
TAPER
TANGENT
20
40
LEGEND
WORK AREA
28" TRAFFIC CONE
--0- EXISTING TRAFFIC FLOW
NZ SIGN LOCATION
PROTECTIVE VEHICLE
Ma ORWORKVEHICLE
5r. Qz,
4
',tic. 1 B913
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 * FAX (425) 771-0221
Website: www.ci.edmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
October 3, 2007
MEMO TO:
Edmonds School District
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U-D-
Puget Sound Energy
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files
Lynnwood Disposal
Comcast Cable
Waste Management Northwest
Please be advised that there has been some confusion on certain lots and their
addressing. The following addresses should be shown as such:
Parcel #: 00463302900202 should be addressed as: 24315 — 91s' Ave W
Parcel #: 00463302900201 should be addressed as: 9033 — 24411, St SW
Occupancy: R3
GARY HAAKENSON
MAYOR
If you have any questions regarding this letter, please contact me at 425-771-0220 or
Umbaugh@ci.edmonds.wa.us. Please contact me if you wish to be removed from this
list.
Respectfully,
eresa mbaugh
Permit Coordinator
Edmonds Building Department
cc: Leigh & Myles Philbin
24315 91 s'Ave W
Edmonds, WA 98026
Alice M. Rud
9033 244" St SW
Edmonds, WA 98026
1-\Tenip\DS,r�s\m aster Letters\Ne\N, Address 10/3/2007
Incorporated August 11, 1890 0
Sister Citv - Hekinan. Jai)an
i
23509
Highlands 2342
- 23507
23507 9017 8707 Z; 35506 23504
23515 23523 23502 23519
9015 23516
881 8523 512
23516 8705 11619 8611
23515 i 11713
9013
2352 ZM14
1312.
.,2.
23529 49205
. . . . . . SM92M3 6609 L
;7,
gall _18703 8-621 Park 8
.2
8505 8423 23522
9020 8532 2360
9114 0
S
go 23616
J23601
23614 > 23615 236M
23619 9108 < :�, 23605
9012 23622 8504
9300 ! 1 8814 i (i ; 23607
q 23622 23621 -
9102 9010 23700
— 8506 23622 23626 23619
2363 23629
23713 VILLA
N . 8425 23706
" QQ
23725 8713 ----- -----
8719 23720
8900 8427 23j17
8723 23.19
X 8905 88M
0
5429
.123
238TH ST SW
8628
8710 23805
w- 10
23815
IM 23815
23809
8912 Sa28 23820
23822
23820
231124 23828 23a23
23830
211128
/011
?3 kimissiG.
MOI 8729 239�U 23904
rona,' .2
3901
8829
23912
8805 8725
�001
23916
29 23920
23930
8721
8809 U21 �-926
240TH ST SW
9016
9022 B504 40M
9700 8410
— 9014
24020 9024 9012 04 8700 8418 0
8610
24019
- 0 Greenery
8706 Condo
9114 9026 4
9008 24028 1-7
Lu:
24104 24109 9109
241D4 24103 24104
t av, -<: 24108
F— 0 24112 24111 24110 15
24118 85
I . Galleon
8 24115
M -j 24117 241111 24HI17 24118
(L 24119 — 4
9125 z Apartments
am !; = 2.,. 8725 4127 8605
Z42ND Sr
42ND S SW
242M 24206 2420724210 24211 8614
.7.
24214 2421524216 24217
24217 Selo
9006 co
— 24220 'o 2422124222 '*
24223 _!2
�O
24229
24231 r
P 24228 24227 24230 8726 ' , 11
24303 4305
Cam
8509 5431
24314 24313 8615 8601 Denny's
24316 4315 2 16 4315 8805 -4 24317 — 8603
8621 8605
ROM 7TS Arby's
S x �4 - . I .
8515
MIS 8425
gall I flaws fogs M I iliwwil -air iii'iliii&4*ib-140wi-olliwiwlii*iwi-dniowai-W.iii�.—.W.Avi;�;�--,.W�i
244TH ST TH ST NW Wi
City of Edmonds Permit No: -4_at%/ 7A
RIGHT-OF-WAY CONSTRUCTION PERMIT issue Date:
A. Address or Vicinity of Construction: ni,5 -a L, e.-
B. T e of Work (be specific):-7n) i63�OAI C�) 1!
YLP
-m PF_ - -z7F-> 44��,
. m a", n (2
(2 1
(lut- LR-) C3
's (_7
;5f 5 W
C. Contractor: �P000luc_l�
00 el +
Contact:sw_., 1�) I (A t
jk_ i��l 10 C SZ
Mailing Address:
(,iw
Phone-,3616 - � 18 - 442 A
c;r c96 (,o 4613 7
State License iP) Lp--
(1z c) I vVI A Liability InsurqLnce:_
Bond: $
D. Building Permit # (if applicable
E. Commercial
F� Multi -Family
I�SPECTOR:
F. PAVEMENT CUT:
. CONCRETE CUT:
F1 Subdivision
IV Single Family
_V]-YES El NO
El YES El NO
Side Sewer Permit # (if applicable):
City Project E] EUC (PUD, VERIZON, PSE, AT& T, OVWD)
Other,
G. SIZE OF CUT x
INDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmless from
injuries, damages or claims of any kind or description whatsoever, foreseen or. unforeseen, that may be made against the City of
Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense
costs and,attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLL097NG THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK., ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR, CREDIT W!LL BEPROCESSED FOR ISSUANCE TO THEAPPLIC4NT.
Traffic c�ntrol and public safety shall be in'accordance with City regulations as required by the City Engineer Every,
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion .. of the
required training in their possession.
Restoration is to be.in accordance with City codes.. All street -cut trench work shall be,patched with asphalt or City -
approved material prior to the end of the workday — NO EXCEPTIONS..
Three sets of construction drawings of proposed work are required, with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK-'!�_
I HA VE READ THE ABO VE STA TEMENTS AND UNbERSTAND THE PERMIT REQUIREMENTS AND A CKNO WLEDGE
THA T I MUST MAKE THE PINK COPY OF THExtiRHIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
I Signature.*
Approved by:
Time Anthorb
ML�_�
(Contractor or',
Date: '. c9h 7 k
i4FOR CITY USE ONLY
nu2 Right-of-way Fee:$/& Ofo,- A
k, Void, After 1fdA 10 Disruption Fee/Fuhd III:
ns: P/C.AC_F CQA4P-1:N 7'111� APAR029t) 11406-go0 Fee;
sw 7-901- PLA /Vr�r� /:-- y -AF PFe A __0
)Total Fee: 2 0 S.,
J3ur,)w,F,S<,r<, A k1b C CAi A4 v At i ry Receipt No:
Nk7 oc 0 pzc A <_�F Issued by:
UPON COMPLETION OF. PERMITTED WORK, AN ENGINEERING, FINAL
INSPECTION IS, REQUIRED i PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE (Phone 425-771-0220, Ext. 1326)
FINAL APPROVAL OF PERMITTED WORK. DATE: 9
Inspector's Signafure
For inSDection reauirements see Eneineerine InSDection Information handout.
NO WOIZK SHALL BECIN i,woFro m7im'T ISSIJANCE
DAMy Documents\Forms\Engnmg\ROWpermit—.doc
QH
C-0
0A
i Ax I PL
at4
Q.4
ar')
>
Z\3
co
CA
12' PAV. RD.
UJ
GR/ SS SF4ULDERS
0
TIE—IN
LLj USE 2* PE IP MAIN
F
TO EX 2" PE IP, EOM 0
30'S CL & 134'E CL
')S CL (—')E CL
Zi 9101
CNI EI
CY)
P Y2 T
SN HU cou
e SIDEWALK
tn
CTI
244 ST SW
:ig I yw
SW31-27-04 V67.068
L
LO
. SS NW 06-26—&IW 168.06 2_.01 STW IP Izesi V 44
S
MPE IP-- 30'S UP %If
6* SIDEWALK
K's -1 1567- J-ZS74
34 E
�J107007440—G
Fgq I...P
C)
n-A. I
IP G0kS FLOW no
zz too
0- 9)
10(n
<
C14
INSTALL (2)
.12* x 90* MPE ELL
30'S CL & 134'E CL
(—)S CL & (—')E CL
29'S CL & 134'E CL
(—')S CL & ( ')E CL
60' R/W
MAIN ROAD
46' ROAD
CL
SHOULDER 23' 23'
OJIUM1111ILLI 6' IDEWALK W—Bound Lane E—bound Lane
*Eb bAS .
F!I�OPOSR
(S)
EN. SEWER
SECTION A -A
NTS
�7A_
EOM
111
INSTALL 2" MPE CAP
>
29'S CL & 319'E CL
4
(—')S CL & (—')E CL
z
0
PROPOSED 200' OF
2" PE IP MAIN
(IN SOFT SHOULDER)
29'S CL
')S CL
FITTER (CHECK BOX IF COMPLETE)
Work area left in Clean & Safe ondition
Complete all Pipe Tables and Gas Pressure Stamp
Field changes Red —Lined on as —built
Material verified and Changes noted on paperwork
All Valve & Tie—in Locations noted on as —built
Note beginning of Main, EOM & Line of Main locations
Show Rope -Locations & Cul—de—sac Radius
Foreman's Signature
Company Employee ID#
I STANDARD GAS CONSTRUCTION NOTES:
1. FIELD LOCATE ALL UNDERGROUND UTILITIES. CALL "ONE —CALL" TWO WORKING DAYS PRIOR TO' CONSTRUCTION, IN
WESTERN WASHINGTON CALL: 1-800-424-5555. IN KITTITAS COUNTY CALL: 1-800-553-4344
2. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
3. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY
EROSION AND SEDIMENT CONTROL AND ANY ADD11IONAL LOCAL JURISDICTION REQUIREMENTS.
4. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE MEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
5. ANY CHANGE IN ROUTE, TIE—IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY PSE GAS ENGINEERING
SERVICES.
6. COMPLETE *PIPE CONDITION REPORT" ON ALL EXPOSED EXISTING PSE FACILITIES. CHECK BOX ON REPORT FOR "RE
BOX (TEST LEAD) INSTALLATION.
7. AC11VE SERVICES DENOTED BY:
8. PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
9. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS OPERATING STANDARD
2525.2600 FOR ALL HP VALVES IF THE LOCATION IS NOT REDILY ACCESSIBLE, AND FOR ALL VALVES WERE
PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX
10. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY PSE GAS ENGINEERING 'SERVICES.
11. SYSTEM MAOP DENOTED BY. ISYSTEM MAOP = _4L RSIG
12. RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO -ORIGINAL OR BETTER CONDITION.
13. GAUGE AND MONITOR USE OF ALL STOPPERS AND SQUEEZES TO ENSURE ADEQUATE FEED. (USE MANOMETER FOR
LP SYSTEMS)
14. PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3400, AND 2525.1200.
GAS MAIN INSTALLATIONIRETIREMENT
Type/Work
Pipe Size
Type
Estimated
Length
Actual
Length
Manufacturer
INSTALL
2'
PE
200'
j
GAS MAIN PRESSURE & TESTING
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
Design Press 60
SYS MAOP 45
PROJECT PHASE
NOTIF#
ORDER#
to
SAP Superior
Service/Meter
Service/Meter
Service/Meter
Service/Meter
Ind. Service
Ind. MSA
Dis. Reg. / FT
HP Svc/MSA
Relocate
Retirement
X659095307
107018883
X971981862
106122375
Vicinity Map
WORK SITE
all
L31
I I_ �Lul!. St SW
LJ U1
M V1, -4
0
F.T. 00
26 N fT-
Jill
'-IA I - - I - 1 1 1 1 �, I I I I I I OF
Ownerl Developer Contact Info
MYLES PHILBIN
24315 91 AVE W
MONDS, WA 98026
ATTN: 425-774-5686 office
U11
Contractor CONSTRUCTION COST CODES:
U)
041-103-1
CALL (800) 424-5555
Project Manager Contact Information:
2 BUSINESS DAYS BEFORE YOU DIG
NT
0
PATTI NESS
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
C:)
Q
CELL: (425) 327-2783
U,)
REAL ESTATE/EASEMENT PERMIT
REQUIRED CITY OF EDMONDS
REV#
DATE
BY
DESCRIPTION
FUNCTION
CONTACT
PHONE
DATE
Cfi
3
PROJECT MGR
PATTI NESS
206-4184237
02103/04
ci
2
ENGR-GAS
00
co
DRAWN BY
JMAILM
206418-4219
203104
00
CHECKED BY
PATTINESS
206-418-4237
0 /0
02103/04
COUNTY
EIMER SECT
GAS WK CTR
APPROVED BY
PATTI NESS
206418-4237
02103/04
KINGISNOHOMISH
5
MNSNHIG
W
CP APPROVAL
1/4 SEC SW31-27-04
OP MAP
PLAT MAP 167.068
NW06-26-04
164.068
168.068
MAPPING
JOINT FACILITIES ARRANGEMENTS
U0
UTILITIES
CONTACT
PHONE#
PUGET MYLES PHILBIN
SOUND
EMGY 211 1P MPE MAIN EXTENSION
24315 91 ST "E W, EDMONDS, WA 98026
DESIGNED BY PILCHUCK CONTRACTORS INC.
M
C�I
0
Sol
SAP Superior Order
107018883
W
a)
z
DravAng Number.
a-
- N/A.
SCALE:
PAGE:
1
I"= 50'
1/1